Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $187.03	Facility		$21.00	$21.00	$187.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $24.94	Professional		$21.00	$21.00	$24.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Facility		$174.33	$174.33	$174.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $159.69 / $327.83	Professional		$119.80	$159.69	$327.83
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $164.06 / $302.17	Professional		$124.27	$164.06	$302.17